Pipecrew Prestart

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• 1. Enter Pipe Crew Foreman's Name or person conducting prestart.

• 2. Weather conditions ?

  Dry

  Rain

  Showers

  Windy

  Very hot

• 3.

  Date

• 4. Soil type?

  Select Sand Clay Marine mud Mixed

  • Sand
  • Clay
  • Marine mud
  • Mixed

• 5. Tick the relevant Work Method Statement Tasks and hazards you will be undertaking or be involved in today (task/hazard numbers as referenced in the WMS Handbook). Note below any extra hazards or risks identified.

  Select 2. General Works 3. Manual handling 4. Electrical safety 5. Using Quich cut & chain saws 6. Hazardous chemicals 7. Refueling 8. Mobile Plant 9. Working near overhead power services 10. Establishing work zone & excavation area 11. Working near underground services 12. Trenching and excavation 13. Installation of trench shields and plates 14. Lifting 15. Pipe testing 16. Working adjacent to the road 17. Working adjacent to water 18. Hotworks 19. Working above 2m 20. Confined space

  • 2. General Works
  • 3. Manual handling
  • 4. Electrical safety
  • 5. Using Quich cut & chain saws
  • 6. Hazardous chemicals
  • 7. Refueling
  • 8. Mobile Plant
  • 9. Working near overhead power services
  • 10. Establishing work zone & excavation area
  • 11. Working near underground services
  • 12. Trenching and excavation
  • 13. Installation of trench shields and plates
  • 14. Lifting
  • 15. Pipe testing
  • 16. Working adjacent to the road
  • 17. Working adjacent to water
  • 18. Hotworks
  • 19. Working above 2m
  • 20. Confined space

Task / Risks / Checks The potential risks to be encountered on site include but are not limited to what is listed below. If you feel an issue is not covered in this document, please refer to your SWMS and amend accordingly.

• 6. Permits & DBYD's are in place and current for the task? i.e. Excavation, confined space, hotworks

  Yes

  No

  N/A

• 7. Are existing services located and have positive ID?

  Yes

  No

  N/A

• 8. Operators and workers have VOC's or logbooks for the plant they are operating?

  Yes

  No

  N/A

• 9. Work Method statements have been reviewed with all workers?

  Yes

  No

  N/A

• 10. All required PPE is available and in good order?

  Yes

  No

  N/A

• 11. Environmental controls are in place? List

  Yes

  No

  N/A

• 12. Are chains, slings and electrical equipment tested and tagged?

  Yes

  No

  N/A

• 13. Is there a designated LV parking and plant parking area?

  Yes

  No

  N/A

• 14. Is there a designated laydown area for materials?

  Yes

  No

  N/A

• 15. We will be using quick cuts ? (If yes quick cut procedure to be followed.)

• 16. Have plant prestarts been completed?

  Yes

  No

  N/A

• 16. The site foreman is aware of the extent of works that I will be undertaking on the site?

  Yes

  No

  N/A

Trenching and Excavation Controls and Assessment

• 17. Nominate the person who has the authority to remove workers from the excavation immediately. (normally the foremen)<br>

  Yes

  No

  N/A

• 18. Before the commencement of daily works the excavation & protective system has been inspected? (state the person or persons conducting the inspection)

  Yes

  No

  N/A

• 19. Are the original project trench excavation specifications and details being used and do they remain effective?

  Yes

  No

  N/A

• 20. Have surrounding structures or areas located in the vicinity of the trenching been inspected for impact from the trenching works? i.e. footpaths, light poles, kerb & gutter.

  Yes

  No

  N/A

• 21. Are workers protected from falling objects (i.e. loose rocks, spoil etc) and is all spoil, materials and equipment set back at least 1m from the edge of the trench?

  Yes

  No

  N/A

• 22. Employees prohibited from working or walking under suspended loads or within 3 meters of plant including plant buckets?

  Yes

  No

  N/A

• 23. Entry and egress steps or ladders located ever 9m of the excavation?

  Yes

  No

  N/A

• 24. Underground installations protected, supported, or removed when excavation is open?

  Yes

  No

  N/A

Confined Space Consideration - Engulfment

• 25. Precautions taken to protect employees from accumulation of water and equipment used monitored?

  Yes

  No

  N/A

• 26. Surface water controlled or diverted?

  Yes

  No

  N/A

• 27. Inspection made after each rainstorm of trenches electrical equipment and generator earth rods?

  Yes

  No

  N/A

• 28. Is there any chance of engulfment of a worker by any substance or material? (if yes space is deemed a confined space)

  Yes

  No

  N/A

Confined Space Consideration - Hazardous Atmosphere

• 29. Is there a risk of hazardous atmosphere or will plant or equipment be introduced that will have a risk of creating a hazardous atmosphere? (if yes the are is deemed a confined space)

  Yes

  No

  N/A

• 30. Atmosphere tested when there is a possibility of oxygen deficiency or build-up of hazardous gases and is gas monitor calibrated?

  Yes

  No

  N/A

• 31. Oxygen content is between 19.5% and 21%

  Yes

  No

  N/A

• 32. Ventilation provided to prevent flammable gas build up?

  Yes

  No

  N/A

• 33. Testing conducted to ensure that atmosphere remains safe?

  Yes

  No

  N/A

Confined Space Assessment

• 34. Emergency Response Equipment readily available where a hazardous atmosphere or emergency rescue needs could or does exist?

  Yes

  No

  N/A

• 35. Is a emergency rescue plan developed and have employees been trained in the use of Personal Protective and Emergency Response Equipment? (enter date of last drill)<br>(state the emergency rescue plan being used Scenario 1 - Scenario 4 or specifically developed)I

  Yes

  No

  N/A

• 36. Are safety harness and rescue line available when employees enter the confined space as per the rescue plan?

  Yes

  No

  N/A

Prestart sign off by all staff. (sign on is required by any person wanting to enter the work zone)

• Sign